Find out how other organisations have developed place-based models of care for treating acutely unwell children and young people in the most appropriate location for their needs.

These are case studies of services developed for acutely unwell children and young people that are provided at places that are not hospitals. The report is for commissioners and providers. With it we aim to offer new ideas and outline approaches that are currently being used to treat children and young people in the most appropriate settings and avoid an admission to hospital whenever possible.

We collected information directly from services and have not conducted independent evaluations. Where a service has carried out an evaluation details are provided. A local contact you can approach for more information has been identified at each service – these are current at the time of publication.


Use the themes below to view the different case studies according to their models of care.

A: Models that primarily prevent acute presentation to the Emergency Department and/or Admission to Hospital

Example:  Salford Children’s Community Partnership, which places Acute Paediatric Nurse Practitioners (APNPs) in the primary care setting to see CYP with acute illness and injury

B: Models that primarily reduce length of stay in hospital

Example: Whittington Hospital @ Home which delivers a nurse-led acute Paediatric service delivered to families in their home, supported by the local hospital’s acute paediatric team

C: Models that aim to prevent both Emergency Department attendance/ admission to hospital AND reduce length of stay in hospital

Example: COAST NHS Solent Trust, a nurse-led team that can receive referrals from both primary and secondary care for home visits for children and young people

D: Models that have a different aim but also impact on acute activity

Example: Connecting care for children in North West London which has three key components (specialist outreach, with specialists from the hospital working alongside primary care professionals; open access, with GPs having access to specialist advice via an email and telephone hotline; and patient and public engagement, built around practice champions who are working with the team to co-design services).

E: Models supporting parents to self-manage minor illness

Example: Bromley by Bow DIY Health which delivers group learning sessions for parents, providing an opportunity to practice skills in a peer-led environment.

For a complete compendium as a printable version and an outline of the case studies by theme, download the PDF below.

All information provided has been fully approved by the local teams. We have also tried to include contact details for each service model, so that people can be contacted for more information if required. Details are correct as of August 2016.

There are other similar examples across the country of innovation and if you wish to be included in future versions of this document we would like to hear from you, contact Georgie Herskovits at: England.LondonHLP_CYP@nhs.net


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